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1679077762 NPI number — STACY RENEE HOWELL CADC1

NPI Number: 1679077762
Health Care Provider/Practitioner: STACY RENEE HOWELL CADC1

Information about “1679077762” NPI (STACY RENEE HOWELL CADC1) exists in 1679077762 in HTML format HTML  |  1679077762 in plain Text format TXT  |  1679077762 in PDF (Portable Document Format) PDF  |  1679077762 in an XML format XML  formats.

NPI Number : 1679077762 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679077762",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOWELL",
    "FirstName": "STACY",
    "MiddleName": "RENEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CADC1",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2607 LEDO RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALBANY",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31707-1211",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "229-903-0022",
    "MailingAddressFaxNumber": "229-903-0025",
    "FirstLinePracticeLocationAddress": "2607 LEDO RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALBANY",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31707-1211",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "229-903-0022",
    "PracticeLocationAddressFaxNumber": "229-903-0025",
    "EnumerationDate": "03/22/2018",
    "LastUpdateDate": "03/22/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": "1032",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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